Claim total
$6,033.68
base $93.39 · payer covered $1,478.42
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-20
- Stop
- 2022-01-20
The parties
- Patient
- patient Salvador Elmo Mosciski
- Provider
- provider Marcus Douglas
Record id
06a67574-2b05-3c67-b5dc-ae6e213b828e